TOM JU (NPI# 1508201393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508201393 |
| Entity Type | Individual |
| Full Name | TOM JU |
| Credential | MD |
| Practice Address |
1330 Boiling Springs Rd Ste 2700 Spartanburg SC 29303 |
| Mailing Address |
1330 Boiling Springs Rd Ste 2700 Spartanburg SC 29303-4215 |
| Practice Telephone | 8645830053 |
| Mailing Telephone | 8645830053 |
| Mailing Fax Number | 8645830147 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301103471 | MI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
201801276 | NC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD52148 | SC | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD52148 | SC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2018-01276 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE SOUTH CAROLINA | SCD3676655 | 01 |
| SC | MEDICARE SOUTH CAROLINA | SCD367560 | 01 |
| SC | 521484 | 05 | |
| NC | MEDICARE NORTH CAROLINA | NN3604A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, Ann Arbor, MI 481095000 | 7349364280 | 7349369091 |
| 1998 Hendersonville Rd Ste 45, Asheville, NC 288032192 | 8282321955 | 8282320329 |
| Street Address |
1330 BOILING SPRINGS RD STE 2700 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275582 | Daniel James Murtaugh | Physical Therapist | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303-4215 | 2020-04-29 |
| 1760853873 | Vicki Harden-taylor | Nurse Practitioner | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| 1710222021 | Brian D. Ray Dmd | Dentist | 1256 Boiling Springs Road, Spartanburg, SC 29303 | 2012-11-28 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992728141 | Yevgeny Eugene Mironer | Pain Medicine | 1330 Boiling Springs Road, Suite 2700, Spartanburg, SC 29303 | 2006-07-26 |
| 1710908496 | John Christian Haasis | Pain Medicine | 1330 Boiling Springs Road, Suite 2700, Spartanburg, SC 29303 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120517 | Greater Greer Pain Relief Center, LLC | Pain Medicine | 127 Mills Ave Ste B, Greer, SC 29651-2514 | 2020-06-30 |
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1649783374 | Carolina Healthchoice of Orangeburg, LLC | Pain Medicine | 1737 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-11-16 |
| 1528596202 | Florence Pain Solutions LLC | Pain Medicine | 491 W Cheves St Ste C, Florence, SC 29501-4407 | 2017-05-25 |
| 1710414305 | Sc Pain & Spine Specialists, LLC | Pain Medicine | 4112 Carolina Commercial Dr, Myrtle Beach, SC 29579-4223 | 2017-05-15 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1760636856 | Pain Specialists of Charleston Pa | Pain Medicine | 2695 Elms Plantation Blvd Ste A, North Charleston, SC 29406-7132 | 2008-11-17 |
| 1982867875 | Low Country Pain Center LLC | Pain Medicine | 793 Cook Road, Orangeburg, SC 29118-9008 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on TOM JU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.